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5 Written questions

5 Matching questions

  1. statement
  2. diagnosis code
  3. procedure
  4. payer
  5. remittance advice (RA)
  1. a private or government organization that insures or pays for health care on the behalf of beneficiaries.
  2. b a standardize value that represents a patien's illness, signs, and syptoms
  3. c a explanation of benefits transmitted electronically by payer to a provider.
  4. d a list of all services performed for a patient, along with the charges for each service.
  5. e medical treatment provided by a physician or other health care provider.

5 Multiple choice questions

  1. a type of managed care in which a high-deductible/low-premium insurance plan is combined with a pretax saving account to cover out-of-pocket medical expenses, up to the deductible limit
  2. .a software program that automates many of the administrative and financial tasks required to run a madical practice
  3. a plan, program, or organization that provides health benifits.
  4. a type of insurance in which the carrier is responsible for both financing and the delivery of health care
  5. health plan that repays the policyholder for covered medical expenses

5 True/False questions

  1. medical necessitytreament provided by a physycian to a patient for the purpose of preventing, diagnosing, or treating an illness, injury, or its symptoms in a manner that is appropriate and provided in accordance with generally accepted standards of medical practice.


  2. codingprivate or government organization that insures or pays for health care on the behalf of beneficiaries.


  3. coinsurancepart of changes that of changes that an insured person must pay for health care services after payment of the deductible amount


  4. adjudicationseries of steps that determine whether a claim should be piad


  5. policyholder.a peson who analyzes and codes patient diagnoses, procedures, and symptoms